OrganizationActive
Lifewell Behavioral Wellness
NPI 1104111061 · Community/Behavioral Health Agency · Phoenix, AZ
Lifewell Behavioral Wellness is a Community/Behavioral Health Agency organization in Phoenix, AZ (NPI 1104111061).
Provider details
- NPI number
- 1104111061
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Doris Vaught, Chief Executive Officer(602) 599-5420
- License
- OTC6539 (AZ)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
40 E Mitchell Dr
Phoenix, AZ 85012-2330
Phone: (602) 808-2800
Fax: (602) 808-2750
Street-level locationGet directions
Mailing address
202 E Earll Drive
Phoenix, AZ 85012-2647
Other names (DBA / former)
- Doing business as
- Lifewell - Mitchell
Registry dates
- Enumerated
- 2011-06-17
- Last updated
- 2020-11-23
- Certified
- 2020-11-23
Frequently asked questions
- What is Lifewell Behavioral Wellness's NPI number?
- Lifewell Behavioral Wellness's National Provider Identifier (NPI) is 1104111061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifewell Behavioral Wellness?
- Lifewell Behavioral Wellness is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Lifewell Behavioral Wellness located?
- Lifewell Behavioral Wellness's practice location on file with NPPES is 40 E Mitchell Dr, Phoenix, AZ 85012-2330.
- What is Lifewell Behavioral Wellness's phone number?
- The practice phone number listed in the NPPES registry for Lifewell Behavioral Wellness is (602) 808-2800.
- Who is the authorized official for Lifewell Behavioral Wellness?
- The authorized official listed on Lifewell Behavioral Wellness's NPPES record is Doris Vaught, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifewell Behavioral Wellness's NPI active?
- Yes — Lifewell Behavioral Wellness's NPI (1104111061) is active in the NPPES registry as of the last update on 2020-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.